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HomeMy WebLinkAbout13-1206 _��� _ CITY OF DIAMOND BAR � "��' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS �'9^'. BULLDING PERMIT APPLICATION FIRMLY � JOBSITE ¢ ADDRESS DATE C_(p(�L�I 3 NUMBER� � IZ�#,C 0 � ISSUE TYPE OCC � APN LOT TRACT DATE �D`�`I�_CONST. GROUP p OWNER W " ADDRESS� ��.,,r ZONING SETBACKS z CITY �- ��.� ZIP�'�1`� TEL.�j � � FRONT Ryy p � APPLICANT TEL. REAR p ¢ SIDE/SIDE STREET RW ❑ � CONTRACT � SIDE p o CIDDTY�L,�Q�j1J�L.. ZI ` /TEL PROPOSED USE .Q-OO` 1J C7 o ARCH/ENG/ ��C' , z DESIGNER � ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. ' UNITS STORIES BEDROOMS � � DESCAIPTION SQ.FT. FACTOR PSF ADJ.AREAlVALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBv AFFlRAI UN�ER PENALTY OF PERIURY THAT I AIA E%EAIPT FRON THE CONiAAC70RS LI- GalagB/CefPOrt � W CENSEUWFORTHEFOLLOWINOREASON(SEC.70.71.6BUSBJESSANDPROFESSIONSCODEANVCITYOR (n U COUNfYWHICHREWIRESAPERMfTTOCONSTRUCT,ALTER,UAPROVE.DEMblJ9/i.ORREPAIRANYSTRUG W w TVRE,P(iIOR To RS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCM PERMIT TO FlLE A SIONED W Patio/Deck � STATEMENT THAT HE OR SHE IS UCENSED PUi15UANT TO hiE PfiOYf510N5 OF THE CONTRACTORS LL � CENSE UW(CNAPTER Y(COMMENGNO WITH SECTION 7000)OF DIVISION�OF THE BUSINESS AND PRO- � Pool/Spe � FESSIONSCOOE�ORTHATHEOFSNEISE%EMP7THEREFROMAND7HEBASISFOfiTHEALLEOEDE%EMP- C7 V TION.ANYVpLATIONOFSECTON7031.68YANYMPLICANTFORAPERMRSU61ECT37HEACPLICANTTO Z Re-Roof � . A CML PEW�LTY OF NOT NOHE THAN FIVE HUNDRED DOLURS(SSOD).): ' � ❑1�30WNEFOFTHEPROPERTV,ORMVEAIPLOVEESWIh114AGE5ASTHE1R50LECOMPEN3AT10N, � Commerclal Z WILL DO iHE WORI(AND TNE 9TRUCTURE L4 NO7INTENDED OR OFFERED FOR SALE(SEC.7oa1,BU51- J � NE55 M1D PflOFE5510N5 COOE:THE CONTRACTORS lJC{}15E UW DOES NOT APPLY TO AN OWNER OF � - PROPEF7n'VJ}q BUILDS OR IMPROVES THEREON,ANO WHO DOES SUCH WORK H W SELF Oq HEIISELF OR wTHi70UGH WS OR HER OWN EMPLOYEES,FROVIDED THAi SUpi IMPRWEMENTSARE NOT INTEN�ED OH m . Q OFFERmFORSALEIF,FIOWEVER7NEBUILDINOORPAPROVEA/ENTISSOt.pWf7HP1pNEVEAROFCOMPIE- Z TION,THE ONTIER-BUIIDER WILL HAVE TME BUR�EN OF FqOVING THAT HE OR SHE DID NOT BUIID Ofl � MPROVE FOR THE PURP0.5E OF SALE} w ❑I,ASOWNEROFTHEPROPERTY,AME%QUSIVELYCOMRACTIN(iWfTH�/CENSEDCOMRACTORS � 70 CONSTRUC7 THE PRQIECT(SEC.7oN,BUSINE55 AND PROFESSIONS CODE:THE CONTMC70R5 U- V81UflllOfl q�J,qq�{ � W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPEATYWMDgUILOSORIMPROVE57HEREON,AND � NM1fOCAHTRAGT5FOR5UCNPR0.1ECT5LVR}fACONiFlACTOR�S)LfCENSEDPURSUANTTOTHECONTRAG Q�J/�(.Jj�jY DESCRIPT70N �E . TORS UCENSELAW.). Q ❑1 AM O(EMPT UN�ER$EC. B.8 P.C.FOR T111S REASOH � - � U � DATE OWNER ~ Z U �Q LICENSED CONTRACTORS DECLARATION W � fL I HEREBY AFFlqM UNDER PENAITY OF PERRIRY THAT IAM LICENSED UNDER PROVISKKJS OF CNAPTER � � 9(COMMENCINO W17H SECTION 7000)OF DNI510N J OF THE BUSMESS AND PROFESSIONS CODE,AND Z ��� MY LICENSE l5 IN FUl FORCE AND EFFECT, m � UCENSE CLASS��_ LIC.NO. `► JI J�� y � U DATE ���_'1 �1 CONTRACTOR �/ d . W � WORKERS'COMPENSATION DECLARATION a � � U � I HEREBV AFFIRM UNDER PENALTY OF PERJUflY ONE OF THE FOLIAWING DEq.AAATqNS: Z . . � _I NAVE AND WILL MAINTAIN A CER77FlCATE OF CANSENT TO SELF-INSUHE FOR WORI(ER5 = COMPENSA7HXJ,tiS PROVIOm BY SECTION 37o00F THE UBOR CODE,FOR THE PERFORMANCE U OF 7HE WORK FOR WHICH THIS PERMIT IS ISSUED. W . � � � Qw _I HAVE AND WILL MAIMAIN WORKERS'CONPENSATpN INSURANC�AS REOUIRED BV SECTION 370o OF TiE LAeOR COOE,FO THE PERFORMANCE OF THE WOAK FOR WMq1 TH15 PERM7T IS ��� i+ �SSUED.MV WOPo(FAS'COIAP ATIDN I URANCE WER AND POIICY MIMBER ARE: CONSTRUCTION �1 �rL!! .. � c^�� PLAN REVIEW 0 POLICY NUMBER ` � Zd ELECTRIC � (fTLL55ECrICNN�N0TBE00AfLE7EDOfT1EPFAhi�6FORONEMJI�DREDOCtUAS�S10qORLE65} PLUMBING - W Z I CEPTIFY THAT IN THE PERFORMANCE OF THE WOfU(FOR WHlqi THIS PERMIT IS ISSUED,1 MECHANICAL C} SHA11 NOT FMVLOY ANY PERSON W ANY MANNEp SOA$TO BECOME SUBJEC770 TNE (,/� WOHI(ERS'COMPENSATION UWS OF CALIFOfWIA,ANO AGREE T1iA71F I SHOULD BE�COME �NSPECTION FEE SU&IECT TO THE WORKERS'COMFENSATION PROyu�S OF SECTION�7a0 qE-UBO � e,i �u w n�coMa�r vnn�rH e vf Ro . ISSUANCE � � O i p DATE: _� APPLICANT: � �SMIP w ENERGY P/C IZ O � WARNINU:FAILURE TO SEQIRE WORICERS'CAMPENSATION COVERAGE IS UNUWFUL,AND SF1ALL BE � SU&IECTAN EMPLOVER TO CRIMINAL CENALTIES MA GVIL FlNES UP TO ONE HUNDHED TMOUSAND ENERGY PERMIT DOLLARS(f100,o00),W rODIiION TO THE COST OF COM7ENSATpN,DAMA�ES IS PROVIDED FOR IN J SEC710N 37oe OF 7HE LABOR COOE,IMEREST,ANDAT70RNEY'S FEES. w RETENTION FEE: �DO O CONSTRUCTION LENDING AGENCY ppE_p�T ppp. F � ;� �� �'r C+�i � I HEREBY AFFlRM UNDER PENALTY OF PEFLM1fRY TNAT THERE 5 ACOfJSTpUCT10N LElIOWO AGENCY p �rr �Z FOR TNE PERFORMANCE OF 7HE WORK f-0R WHIC11 TMIS PERMR IS LSSUED(SEG 70W,qK G� W � LENDEAS NMIE . 1— LENDERSADDRESS � I CERTIFY TIiAT I HAVE READ T113 APPLJCATION AND STATE 7HAT THE ABOVE INFOAA/ATION IS CORRECT. TOTAL FEES � q(p 3��q � I A6FEE TO COMPLY N77H ALL CRY AND CAUNiY ORDPlANCE4 AND S7ATE UWS flELA7W0 TO BUILDIN6 � CONSTRUCTION,AND HEREBY AUh10R1ZE REPRESEN7ATNE5 OF THIS COUNTY TO FMER UPON TiE Z ABOVE-MEMIONED PROPERTY FOR INSPECTION VURPOSES. � �MMENTS o � �j��� � ¢ PERMIT7EE NM/E( � � � � �, l � �/j SIONANREOF TTEE DATE � RECPT.NO.��� PAID BY VAIIDATION WHII'E—DepaAment Copy,YELLOW--Flnance Copy,PINK—Assessor Copy,GOLDENqOD--File Copy;OREEN—AppllcenYs Copy +�i T''�` �� �1 A�L`�(�i�J� ���a —, .1-. @t���E�:�t�� �d�����3 y. �*,� .�,.;,y� - . "�TY` nA (�..�tl k�.�.�� � .�`�E�rt�' .a V `, :� � o �� �� '' `'- f� ����.-��, �r3 �'� - x � . . . , . . . ..„ ,,�. � . .. _. ._ .. _ , . SETti;\CK � _ __ � FLOORJOIST -- --- - � __ - ---_- - - ---- - - -- --- - ---_ .____— ---- ------ ---- FTG�/�OHNtS/STEFL FHA REQt�qTS --- -- - --__ _.--- -- -_—---- ---- - ------ --- ---- ---------- ELECTRIC GROU`JD I UNOER FLOOR DUCT GRrUPdD PLl1MBfNG r-- -�----� --- __` _ � UNDER FLOOR�Oh1�U1T�— SLkL�uRAdE �� � � FIREPLACE F�UNDATION �fElviP PObVEP, I FlREPLACk 80ND BEaW! WA7ER�ERVIrF —r ��v11D HT BOf�!D BEAtvI RO�F SHEATHING ��['� �3 FT.BOND BEAPJi � FRAMIPJG/VEMTILATION _ _ _ __ _ __ _ _ FINAL B0�lD BEAM ROOF COVER _ ' PRE-GRADING ROUGH HEATING I BEfJCFfING ROUGH ELECTRIC C � ^ ROUGH GRADING` ROUGH PLUME31�lG FINISH GRADING • SHOWER/TUBTEST POOLELECTRIC � EXL LATH/SIOING ' POOL FENCiNG WALL INSULATIOPI POOL FINAL CEILl�^�G INSULATIOTJ OFF SITE IP�1P5. DRl'bVALL NAILING DEUICATIOfdS SE4�lER ------- ----- ------ �--- FINALENG. —' --- SEPTICTANK _ LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. � GAS AIRTEST FINAL ZONIfdG FINAL CONST. FIRE nFpT.FIhdAL _�, FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DFV.FEES PAID - FINAI PLUMBING ENERGY FINAL PLANiNG FINAL ENGINEERING o � � � - �OMMENTS ____ __�__________ . -—\ — -----_— ----- _ SEPTICTANKSIZE � SEEP PIT/U SIZE — — h q' �� 2? . 4� _--_`_ __" _` _ _' �� — __'__.�_ __ ' _ '___ �